Provider Demographics
NPI:1891589743
Name:SHEELER, ANGELA DENISE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:DENISE
Last Name:SHEELER
Suffix:
Gender:
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46391-0233
Mailing Address - Country:US
Mailing Address - Phone:219-344-0675
Mailing Address - Fax:
Practice Address - Street 1:156 S FLYNN RD
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46391-9491
Practice Address - Country:US
Practice Address - Phone:219-344-0675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT22508583225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist